Report #2878597

Received Dec 18, 2025

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Female
Age: 69 yrs
State: CO
Recovered: Unknown
Vaccinated: Dec 9, 2025
Onset: Dec 10, 2025
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	1	3053669	IM / LA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	pf44a	IM / LA

Symptoms (1)

Bursitis

Symptom narrative

Patient self-reports Bursitis of left arm after receiving vaccine

Current illness

n/a

Medical history

n/a

Other medications

N/A

Allergies

Penicillin

Lab data

n/a